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General NPI Number Information
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NPI Number | 1215437959
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Entity Type | Organization
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Legal Business Name | EMPOWERED HEARTS & MINDS COUNSELING & PSYCHOTHERAPY
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 21 ORCHARD ST FL 2
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City | DENVILLE
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State | NJ
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Zip | 07834-2146
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Country | US
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Telephone | 862-209-7399
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Fax | 862-772-7978
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Provider Business Mailing Address
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Address Line | 21 ORCHARD ST FL 2
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City | DENVILLE
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State | NJ
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Zip | 07834-2146
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Country | US
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Telephone | 862-209-7399
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Fax | 862-772-7978
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | CHRISULA TASIOPOULOS
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Credential | MSW, LCSW
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Telephone | 622-097-3958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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